Individual
DANIEL BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
133D MAIN STREET, SUITE #4, EPPING, NH 03042-2457
(603) 496-6070
Mailing address
11 HARVEY LN, EPPING, NH 03042-1705
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1979
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14104520
CAQH
—
Enumeration date
10/02/2017
Last updated
10/02/2017
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